Section to be completed by School Staff:

Dear staff member:
Recently a Student Aide was sent to you with a task to complete. Please rate the student on their behavior. This counts as part of the student’s grade.

  1. Student Aide enters the room appropriately without disruption:

Yes o No o

  1. Student Aide communicates reason for visit or necessary response clearly:

Yes o No o

  1. Student Aide waits courteously for staff member’s acknowledgement or response:

Yes o No o

Section to be completed by Student Aide’s supervisor:

  1. Student Aide delivers message and returns in an appropriate time frame:

Yes o No o

  1. Student completes task correctly:

Yes o No o